Healthcare Provider Details

I. General information

NPI: 1740195973
Provider Name (Legal Business Name): EMEN COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7988 CLIPPER CT
FREDERICK MD
21701-3255
US

IV. Provider business mailing address

7988 CLIPPER CT
FREDERICK MD
21701-3255
US

V. Phone/Fax

Practice location:
  • Phone: 646-665-1526
  • Fax: 646-878-9691
Mailing address:
  • Phone: 646-665-1526
  • Fax: 646-878-9691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH EMEN
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCPC, LPC, LMHC
Phone: 802-578-5794